Individual provider Active NPI

Brooklynn Haas Dease, NCC, LCMHC, MA

  • Mental Health Counselor
  • Cornelius, NC
National Provider Identifier
1669106605
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17747 Issued in NC
Practice address
17105 Kenton Dr Ste 201C
Cornelius, NC 28031-5654
Phone
(704) 747-3737
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 17747 NC Primary

Addresses

Primary practice location

17105 Kenton Dr Ste 201C
Cornelius, NC 28031-5654

Mailing address

17105 Kenton Dr Ste 201C
Cornelius, NC 28031-5654
Phone (704) 747-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830000411 NC Practitioner - Other (Physician) 3678012952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
17747NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Nook Counseling PLLC Mental Health CurrentSince Nov 13, 2025 Accepting new patients

Locations

17105 Kenton Dr
Ste 201C
Cornelius, NC 28031
Phone (704) 666-2007

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1669106605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17105 KENTON DR STE 201C",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315654",
            "telephone_number": "704-747-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17105 KENTON DR STE 201C",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315654",
            "telephone_number": "704-747-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEASE",
        "first_name": "BROOKLYNN",
        "middle_name": "HAAS",
        "credential": "NCC, LCMHC, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

Verify at the official NPI Registry.